Examining the Function In Sitting Test for Validity, Responsiveness, and Minimal Clinically Important Difference in Inpatient Rehabilitation
Examining the Function In Sitting Test for Validity, Responsiveness, and Minimal Clinically Important Difference in Inpatient Rehabilitation
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DOI：
10.1016/j.apmr.2014.07.415
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发表时间：
2014-12-01
影响因子：
4.3
通讯作者：
Greenwald, Cara
中科院分区：
文献类型：
--
作者：
Gorman, Sharon L.;Harro, Cathy C.;Greenwald, Cara
目的：为了确定坐位功能测试（FIST）的反应性，将住院康复（IPR）入院和出院时的评分与其他平衡和功能测量进行比较，并确定最小临床重要差异（MCID）。设计：前瞻性，非盲，参考标准比较研究。设置：四个认可的住院康复单位。参与者：以人群为基础的样本为成人（N=125），有坐姿平衡功能障碍，不包括有脊髓损伤、严重支具/矫形器和无法安全进行测试的人。干预措施：不适用。主要结果测量：入院时和出院时的FIST、ESTA和贝格平衡量表（BBS），以及出院时功能和平衡的总体变化评级。入院和出院时，FIST与BBS和FIIVI的并发效度表现为良好至极好（斯皮尔曼rho =.71-.85）。显著改善（P.000; 95% CI，.66-.91），FIST评分变化>= 6.5分，指定MCID。调查结果支持强大的反应性的FIST在IPR证明了大的效应量（.83），标准化的反应平均值（1.04），和指数的responsibility（1.07）。结论：在这项研究中，FIST与平衡和功能的措施（并行效度），并在IPR的变化作出反应。评分增加≥ 6.5分表示有临床意义的变化。(C)2014年美国康复医学大会
Objectives: To determine the responsiveness of the Function In Sitting Test (FIST), compare scores at admission and discharge from inpatient rehabilitation (IPR) with other balance and function measures, and determine the minimal clinically important difference (MCID).Design: Prospective, nonblinded, reference-standard comparison study.Setting: Four accredited inpatient rehabilitation units.Participants: Population-based sample of adults (N=125) with sitting balance dysfunction, excluding persons with spinal cord injury, significant bracing/orthotics, and inability to perform testing safely.Interventions: Not applicable.Main Outcome Measures: FIST, FIM, and Berg Balance Scale (BBS) at admission and discharge, and Global Rating of Change for function and balance at discharge.Results: The FIST demonstrated good to excellent concurrent validity with the BBS and FIIVI at admission and discharge (Spearman rho =.71-.85). Significant improvement (P.000; 95% CI, .66-.91), with a change in FIST score of >= 6.5 points designating the MCID. Findings support the strong responsiveness of the FIST during IPR as evidenced by the large effect size (.83), standardized response mean (1.04), and index of responsiveness (1.07).Conclusions: In this study, the FIST correlated well with balance and function measures (concurrent validity) and was responsive to change during IPR. A clinically meaningful change was indicated by an increase in score of >= 6.5 points. (C) 2014 by the American Congress of Rehabilitation Medicine